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Nurse-physician communication during labor and birth: implications for patient safety.
J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug; 35(4):547-56.JO

Abstract

OBJECTIVE

To describe communication between nurses and physicians during labor within the context of the nurse-managed labor model in community hospitals and its relationship to teamwork and patient safety.

DESIGN

Multicenter qualitative study involving focus groups and in-depth interviews.

SETTING

Labor and birth units in 4 Midwestern community hospitals.

PARTICIPANTS

54 labor nurses and 38 obstetricians.

METHODS

Focus groups and in-depth interviews were conducted using open-ended questions. Data were analyzed using inductive coding methods to gain understanding from the perspective of those directly involved.

MAIN OUTCOME MEASURES

Description of interdisciplinary interactions during labor.

RESULTS

Nurses and physicians shared the common goal of a healthy mother and baby but did not always agree on methods to achieve that goal. Two clinical situations critical to patient safety (fetal assessment and oxytocin administration) were frequent areas of disagreement and sources of mutual frustration, often leading to less than optimal teamwork. Minimal communication occurred when the mother and fetus are doing well, and this seemed to be purposeful and considered normal. Physicians and nurses had distinct opinions concerning desirable traits of members of the other discipline.

CONCLUSIONS

Interdisciplinary communication and teamwork could be improved to promote a safer care environment during labor and birth.

Authors+Show Affiliations

St. John's Mercy Medical Center, Doisy College of Health Sciences School of Nursing, Saint Louis University, MO 63141, USA. krsimpson@prodigy.netNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16882001

Citation

Simpson, Kathleen Rice, et al. "Nurse-physician Communication During Labor and Birth: Implications for Patient Safety." Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, vol. 35, no. 4, 2006, pp. 547-56.
Simpson KR, James DC, Knox GE. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56.
Simpson, K. R., James, D. C., & Knox, G. E. (2006). Nurse-physician communication during labor and birth: implications for patient safety. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 35(4), 547-56.
Simpson KR, James DC, Knox GE. Nurse-physician Communication During Labor and Birth: Implications for Patient Safety. J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug;35(4):547-56. PubMed PMID: 16882001.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nurse-physician communication during labor and birth: implications for patient safety. AU - Simpson,Kathleen Rice, AU - James,Dotti C, AU - Knox,G Eric, PY - 2006/8/3/pubmed PY - 2006/9/9/medline PY - 2006/8/3/entrez SP - 547 EP - 56 JF - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JO - J Obstet Gynecol Neonatal Nurs VL - 35 IS - 4 N2 - OBJECTIVE: To describe communication between nurses and physicians during labor within the context of the nurse-managed labor model in community hospitals and its relationship to teamwork and patient safety. DESIGN: Multicenter qualitative study involving focus groups and in-depth interviews. SETTING: Labor and birth units in 4 Midwestern community hospitals. PARTICIPANTS: 54 labor nurses and 38 obstetricians. METHODS: Focus groups and in-depth interviews were conducted using open-ended questions. Data were analyzed using inductive coding methods to gain understanding from the perspective of those directly involved. MAIN OUTCOME MEASURES: Description of interdisciplinary interactions during labor. RESULTS: Nurses and physicians shared the common goal of a healthy mother and baby but did not always agree on methods to achieve that goal. Two clinical situations critical to patient safety (fetal assessment and oxytocin administration) were frequent areas of disagreement and sources of mutual frustration, often leading to less than optimal teamwork. Minimal communication occurred when the mother and fetus are doing well, and this seemed to be purposeful and considered normal. Physicians and nurses had distinct opinions concerning desirable traits of members of the other discipline. CONCLUSIONS: Interdisciplinary communication and teamwork could be improved to promote a safer care environment during labor and birth. SN - 0884-2175 UR - https://wwww.unboundmedicine.com/medline/citation/16882001/Nurse_physician_communication_during_labor_and_birth:_implications_for_patient_safety_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0884-2175(15)34400-2 DB - PRIME DP - Unbound Medicine ER -